Miss Manners: She was embarrassingly rude in public and then blamed it on anxiety

I have tried to apologize on her behalf, but the woman she targeted is avoiding me.

DEAR MISS MANNERS: I sat at a charity event with a friend who is being treated for anxiety. My friend abruptly informed another woman of a flaw in her appearance. That woman ran out of the room, probably having her own anxiety attack.

I asked my friend why she did this, and she said it would be something she would want to know. When I asked why she had to say it so loudly and abruptly, I got a lecture on anxiety.

I have since tried to apologize to the other woman, but she is avoiding me. I think she was really hurt.

In another instance, a relative of mine posted something insensitive about a current event on social media. Several friends and family (though not me) pointed this out to her, and she started defending herself. Several people said that her arguments made her appear selfish.

My relative escalated things by saying that all the mean comments were triggering her anxiety, that she didn’t need that kind of negativity in her life, and that she was blocking everyone who didn’t agree with her.

I saw her mother later, and asked how she was dealing with her anxiety. Her mother said she never had anxiety, and that many of the things she used to justify her post were lies.

I don’t want to belittle anyone’s condition, but other people’s feelings matter, too. How does one handle situations like these?

GENTLE READER: Whether or not the perpetrator’s anxiety is real is not the point. Suffering does not confer license to make other people suffer. Rather, it should inspire empathy.

Yet Miss Manners is constantly hearing medical excuses — some plausible, some pretty far-fetched — for bad behavior. And as most everyone has a medical grievance of some sort, this approach could erase the concept of rudeness entirely, requiring humane people to let others get away with anything.

You need not let that happen.

As you have noticed, pointing out rude people’s faults to them rarely makes them contrite. But the natural consequence of people behaving rudely is that others do not want to be around them. Surely you do not want to attend another event with someone who insults other guests, nor subject yourself to a spiteful relative.

As you say, feelings matter. Including yours.

DEAR MISS MANNERS: How early can I start giving people Christmas cookies?

GENTLE READER: After Thanksgiving and before they get stale.

DEAR MISS MANNERS: I am a retired clinical physician. Despite my retirement, I still have friends and even minor acquaintances who call, text or email me about problems that fall into my specialty.

One of the reasons I retired is because I am burned out on providing health care. Also, as I no longer have an office, I can’t really provide an examination, procedure or other follow-up.

How do I politely let them know that they should seek counsel elsewhere, and that I no longer wish to give out medical advice?

GENTLE READER: By prescribing another doctor: “I’m not keeping up with the field, but Dr. Tenderheart could help you.”

Please send your questions to Miss Manners at her website, www.missmanners.com; to her email, dearmissmanners@gmail.com; or through postal mail to Miss Manners, Andrews McMeel Syndication, 1130 Walnut St., Kansas City, MO 64106.